Clemenz, Rebecca Lucas

Clemenz, Rebecca Lucas is an sole proprietor health care provider with primary practice located at 7039 Saint Andrews Rd , Columbia SC 29212-1177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Clemenz, Rebecca Lucas can be contacted via phone (803) 749-0097.

Contact Information

Primary practice address
7039 Saint Andrews Rd Columbia SC 29212-1177
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12331 South Carolina

Profile Details

NPI number 1992711741
LBN Legal business name Clemenz, Rebecca Lucas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992711741 NPPES
South Carolina Other 12331 SC LICENSE

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